*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| K50113 - Crohn's disease of large intestine with fistula - as a primary diagnosis code | K50113 - Crohn's disease of large intestine with fistula - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 8.63 | |
| Readmission Rate (%) | 30.33 | |
| Unplanned Readmission Rate (%) | 19.65 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 264 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 38.88 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 5.37 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 31.82 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 23.14 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $1,844,506 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $1,302 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $6,987 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $11,031,782 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $41,787 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 8.33 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 67.8 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|
| Total Hospitalizations at DRG | 2,249 |
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 21 |
| DRG Share of Total Hospitalizations | 0.01 |
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 3.09 |
| Avg LOS at DRG | 5.41 |
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 4.38 |
| Readmission Rate at DRG | 15.24 |
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA |
| Unplanned Readmission Rate at DRG | 9.83 |
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA |
| Total Medicare payments at DRG | $32,618,281 |
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $300,746 |
| Total Medicare payment per Day at DRG | $2,679 |
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $3,269 |
| Total Medicare payment per Hospitalization at DRG | $14,503 |
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $14,321 |
| Total Medicare Charges at DRG | $159,075,251 |
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $1,357,591 |
| Avg Charges at DRG | $70,732 |
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $64,647 |
| Mortality Rate at DRG | NA |
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA |
| SNF Discharge Rate at DRG | 14.23 |
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA |
| Home Discharge Rate at DRG | 57.09 |
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 52.38 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 15 |
| CLEVELAND CLINIC HOSPITAL | 3100 WESTON RD | WESTON | FL | 33331 | 12 |
| MAYO CLINIC HOSPITAL - SAINT MARYS CAMPUS | 1216 2ND ST SW | ROCHESTER | MN | 55902 | 12 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 386: INFLAMMATORY BOWEL DISEASE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 385: INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 29,000 | ||||
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 336 | ||||
| DRG Share of Total Hospitalizations | 0.09 | ||||
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 24.07 | ||||
| Avg LOS at DRG | 4.23 | ||||
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 5.3 | ||||
| Readmission Rate at DRG | 22.98 | ||||
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 32.58 | ||||
| Unplanned Readmission Rate at DRG | 17.78 | ||||
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 22.9 | ||||
| Total Medicare payments at DRG | $172,301,710 | ||||
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $2,293,180 | ||||
| Total Medicare payment per Day at DRG | $1,406 | ||||
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $1,288 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,941 | ||||
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $6,825 | ||||
| Total Medicare Charges at DRG | $933,956,738 | ||||
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $14,016,980 | ||||
| Avg Charges at DRG | $32,205 | ||||
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $41,717 | ||||
| Mortality Rate at DRG | 0.13 | ||||
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| SNF Discharge Rate at DRG | 6.28 | ||||
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 7.74 | ||||
| Home Discharge Rate at DRG | 77.02 | ||||
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 68.75 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 348: ANAL AND STOMAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 333: RECTAL RESECTION WITH COMPLICATION OR COMORBIDITY (CC) | DRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 8,316 | ||||
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 53 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 3.8 | ||||
| Avg LOS at DRG | 4.9 | ||||
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 3.74 | ||||
| Readmission Rate at DRG | 17.02 | ||||
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 22.64 | ||||
| Unplanned Readmission Rate at DRG | 12.32 | ||||
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| Total Medicare payments at DRG | $76,401,122 | ||||
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $482,253 | ||||
| Total Medicare payment per Day at DRG | $1,873 | ||||
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $2,436 | ||||
| Total Medicare payment per Hospitalization at DRG | $9,187 | ||||
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $9,099 | ||||
| Total Medicare Charges at DRG | $416,769,489 | ||||
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $2,044,258 | ||||
| Avg Charges at DRG | $50,117 | ||||
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $38,571 | ||||
| Mortality Rate at DRG | 0.26 | ||||
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| SNF Discharge Rate at DRG | 11.22 | ||||
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| Home Discharge Rate at DRG | 64.53 | ||||
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 83.02 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 394: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION OR COMORBIDITY (CC) | DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 9,732 | ||||
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 16 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 1.15 | ||||
| Avg LOS at DRG | 5.53 | ||||
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 3.44 | ||||
| Readmission Rate at DRG | 19.38 | ||||
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| Unplanned Readmission Rate at DRG | 13.36 | ||||
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| Total Medicare payments at DRG | $100,062,390 | ||||
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $142,082 | ||||
| Total Medicare payment per Day at DRG | $1,858 | ||||
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $2,583 | ||||
| Total Medicare payment per Hospitalization at DRG | $10,282 | ||||
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $8,880 | ||||
| Total Medicare Charges at DRG | $511,834,570 | ||||
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $491,963 | ||||
| Avg Charges at DRG | $52,593 | ||||
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $30,748 | ||||
| Mortality Rate at DRG | 0.4 | ||||
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| SNF Discharge Rate at DRG | 12.85 | ||||
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||||
| Home Discharge Rate at DRG | 59.69 | ||||
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | 81.25 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 981: EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 392: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|
| Total Hospitalizations at DRG | 109,018 | ||
| Total Hospitalizations with ICD K50113 - Crohn's disease of large intestine with fistula | 11 | ||
| DRG Share of Total Hospitalizations | 0.33 | ||
| % of Total ICD K50113 - Crohn's disease of large intestine with fistula in DRG | 0.79 | ||
| Avg LOS at DRG | 12.66 | ||
| Avg LOS with ICD K50113 - Crohn's disease of large intestine with fistula | 28.18 | ||
| Readmission Rate at DRG | 35.31 | ||
| Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||
| Unplanned Readmission Rate at DRG | 20.73 | ||
| Unplanned Readmission Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||
| Total Medicare payments at DRG | $3,554,922,428 | ||
| Total Medicare payments with ICD K50113 - Crohn's disease of large intestine with fistula | $697,832 | ||
| Total Medicare payment per Day at DRG | $2,575 | ||
| Total Medicare payment per Day with ICD K50113 - Crohn's disease of large intestine with fistula | $2,251 | ||
| Total Medicare payment per Hospitalization at DRG | $32,609 | ||
| Total Medicare payment per Hospitalization with ICD K50113 - Crohn's disease of large intestine with fistula | $63,439 | ||
| Total Medicare Charges at DRG | $15,445,232,132 | ||
| Total Medicare Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $3,756,671 | ||
| Avg Charges at DRG | $141,676 | ||
| Avg Charges with ICD K50113 - Crohn's disease of large intestine with fistula | $341,516 | ||
| Mortality Rate at DRG | 8.99 | ||
| Mortality Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||
| SNF Discharge Rate at DRG | 27.26 | ||
| SNF Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA | ||
| Home Discharge Rate at DRG | 27.78 | ||
| Home Discharge Rate with ICD K50113 - Crohn's disease of large intestine with fistula | NA |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| MOUNT SINAI HOSPITAL | 1 GUSTAVE L LEVY PL | NEW YORK | NY | 10029 | 24 |
| CLEVELAND CLINIC HOSPITAL | 3100 WESTON RD | WESTON | FL | 33331 | 20 |
| CLEVELAND CLINIC | 9500 EUCLID AVE | CLEVELAND | OH | 44195 | 18 |